Organization Name: | JOHNSON COUNTY PUBLIC HEALTH |
NPI Number: | 1003992678 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DOUGLAS BEARDSLEY (DIRECTOR) |
Mailing Address: | 855 S Dubuque St Suite 217 Iowa City |
State: | IA US |
Postal Code: | 522404281 |
Phone Number: | 3193566040 |
Fax Number: | 3193396176 |
NPI Enumeration Date: | 10/27/2006 |
NPI Last Update Date: | 11/27/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | NONE |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |